Temporary Guest Account Request

Professional Education and Lifelong Learning program managers and coordinators may use this form to request UR network guest accounts for individual classes.

Requests must be submitted at least one week prior to the course start date. Required fields are noted with an asterisk (*).

Guests/Students*

First and last names of guests. Multiple names separated by a comma, e.g. John Doe, Jane Doe, Sarah Jones, Edward Smith.

SPCS Program Manager/Coordinator Information

Name*:
NetID*:
Phone:
Email*:

Course Information

Title*:
Start date:
End date:


Type of account requested

Bring own laptop
Internet only
Use campus computers
Logon to classroom, lab, or general use computers
Request print units for managed general use printers
BlackBoard access

Number of print units per account (increments of 25):
Cost for printing is $2.00 per 25 pages per account.
Index and account to charge print units:

Purpose of Accounts*


Please print out a copy of the submission receipt, which will appear on the next page, for your records.